Factors associated with human immunodeficiency virus testing among tuberculosis patients receiving treatment at health facilities in Uganda

• Published in: The international journal of tuberculosis and lung disease Vol. 14; no. 7; pp. 896 - 902
• Main Authors: NABBUYE-SEKANDI, J, OKOT-CHONO, R, RUSEN, I. D, DLODLO, R. A, KATAMBA, A, TUMWESIGYE, N. M, FUJIWARA, P. I
• Format: Journal Article
• Language: English
• Published: Paris, France IUATLD 01-07-2010; International Union against Tuberculosis and Lung Disease
• Subjects: Adolescent; Adult; Bacterial diseases; Biological and medical sciences; collaborative TB-HIV services; Cross-Sectional Studies; Data Collection; Female; HIV Infections - complications; HIV Infections - diagnosis; HIV Infections - epidemiology; HIV testing; Human bacterial diseases; Human immunodeficiency virus; Human viral diseases; Humans; Immunodeficiencies; Immunodeficiencies. Immunoglobulinopathies; Immunopathology; Infectious diseases; Male; Mass Screening - methods; Medical sciences; Middle Aged; Mycobacterium; Pneumology; Respiratory system : syndromes and miscellaneous diseases; Rural Health Services; Tuberculosis; Tuberculosis - complications; Tuberculosis and atypical mycobacterial infections; Uganda; Urban Health Services; Viral diseases; Viral diseases of the lymphoid tissue and the blood. Aids; Young Adult; Uganda; Africa; Human; Immunopathology; Respiratory disease; Health; collaborative TB-HIV services; Retroviridae; AIDS; Mycobacterial infection; Immune deficiency; Lentivirus; Infection; Virus; Associated virus; Treatment; Tuberculosis; Viral disease; Cooperation; Bacteriosis; HIV testing; Human immunodeficiency virus; Pneumology
• ISSN: 1027-3719; 1815-7920

SETTING: One peri-urban and four rural districts in Uganda.OBJECTIVES: To determine the level of and factors associated with human immunodeficiency virus (HIV) testing among tuberculosis (TB) patients.DESIGN: A cross-sectional study was conducted in five selected districts from
August to November 2007. Patients aged ≥18 years returning for TB treatment refills at facilities offering TB and HIV services were included. Patients were excluded if they were very sick or unable to speak English or any of the local study languages. The outcome was self-reported HIV testing
after TB diagnosis, validated using clinic registers.RESULTS: Of 261 patients analysed, 169 (65%) had been tested for HIV following TB diagnosis. In a multivariate analysis, age >45 years (OR 0.27, 95%CI 0.08-0.87), not receiving information about the TB-HIV association (OR 0.35,
95%CI 0.15-0.77), not being offered HIV testing by health provider (OR 0.02, 95%CI 0.006-0.042), dissatisfaction with privacy (OR 2.49, 95%CI 1.11-5.55) and spending 30-60 min at the clinic (OR 4.48, 95%CI 1.66-12.10) significantly influenced level of HIV testing.CONCLUSION:
The level of HIV testing among TB patients was suboptimal, as per policy all patients should be tested. The Uganda Ministry of Health should continue to scale-up HIV testing and other collaborative TB-HIV services at health facilities.